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Minnesota rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Facilitymedian $2,951 · 10th–90th $933–$33,1130%10%10th90th$2,951Professionalmedian $1,175 · 10th–90th $575–$2,0420%10%10th90th$1,175$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $17,378.01 / $41,686.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,318.26 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,995.26 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,698.24 / $2,570.40
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,905.46 / $3,715.35
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,412.54 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,096.48 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,265.80 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,174.90 / $2,238.72